Serum lipid profile and its association with hypertension in Bangladesh

Choudhury, Kamrum Nahar; Mainuddin, Akm; Wahiduzzaman, Mohammad; Islam, Sheikh Mohammed Shariful

doi:10.2147/vhrm.s61019

Cited by 61 publications

(34 citation statements)

References 22 publications

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“…The urban–rural differences in dyslipidemias are consistent with distribution of other variables, such as obesity or diabetes. The validity of our findings is supported by the fact that being female, higher BMI and WHR, diabetes and hypertension were also positively significantly associated with dyslipidemia, similarly to other published studies [ 16 , 17 ].…”

Section: Discussionsupporting

confidence: 91%

Prevalence, awareness, treatment and control of dyslipidemia in older persons in urban and rural population in the Astana region, Kazakhstan

et al. 2017

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BackgroundDespite high cardiovascular mortality in Central Asian republics of the former Soviet Union, there is limited information about major risk factors, including blood lipids. We investigated the prevalence of impaired concentrations of blood lipids, the awareness, treatment and control of hypercholesterolemia, and factors associated with these indicators in urban and rural populations in Kazakhstan.MethodsWe conducted a cross-sectional study of random urban and rural population samples (the state capital Astana and Akmol village). Men and women aged 50–74 years were examined; a total of 954 adults participated (response rate 59%). Serum concentrations of total, LDL and HDL cholesterol and triglycerides and a range of other cardiovascular risk factors were measured.ResultsThe overall prevalence of hypercholesterolemia (total cholesterol ≥6.2 mmol/l) was 37%; among subjects with hypercholesterolemia, 57% were aware of their condition, 41% took medication and 23% had total cholesterol <6.2 mmol/l (4.5% <5 mmol/l). The prevalence, awareness, treatment, and control of hypercholesterolemia were all higher in the urban than the rural area. Similarly, the proportions of subjects with impaired concentrations of specific lipids fractions were also considerably higher in the urban population. Most associations with other covariates were in the expected direction.ConclusionsThis study found relatively high prevalence of dyslipidemia in the Kazakh population, and the blood lipid profile was less favourable in the urban area. These pronounced urban–rural differences may be related to urbanization, the associated nutrition transition and to access to health care.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-017-4629-5) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 91%

Prevalence, awareness, treatment and control of dyslipidemia in older persons in urban and rural population in the Astana region, Kazakhstan

et al. 2017

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“…However, in a previous study we showed that hypertensive patients in Bangladesh have a close association with dyslipidemia. 45 Future advanced studies will provide better pathophysiology and genetics basis of hypertension in Bangladesh. Finally, we did not collect data on medication use and adherence, which could have provided better clinical information.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of risk factors for hypertension: A cross-sectional study in an urban area of Bangladesh

Islam

Mainuddin

Islam³

et al. 2015

Global Cardiology Science and Practice

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Background: Hypertension is a major risk factor for several cardiovascular diseases (CVD). The prevalence of hypertension is increasing in Bangladesh, especially in urban areas. The objective of this study was to estimate the prevalence of hypertension and its risk factors in an urban area of Bangladesh. Methods: We conducted a cross-sectional survey involving participants aged ≥ 25 years in an urban area in Dhaka between June-December 2012, using multi-stage random sampling. Data on socioeconomic status, tobacco use, physical activity, diet, extra-salt use, family history of hypertension, CVD, anthropometric measurements and blood pressure were collected using modified WHO-STEPS protocol. Hypertension and pre-hypertension were defined according to JNC-7. Multiple logistic regressions models were used to identify risk factors associated with hypertension. Results: The overall age-adjusted prevalence hypertension and pre-hypertension among 730 participants was 23.7% and 19%, respectively, which was higher among males compared to females (23.6% vs 21.71% and 21.7% vs 17.0%, respectively). Bivariate analysis showed significant relationship of hypertension with age, BMI, no physical activity, tobacco use, extra salt intake and family history of stroke/cardiovascular disease. In the multivariate model, factors significantly associated with hypertension were older age (OR 19.18, 95% CI 13.58–28.11), smoking (OR 3.47, 95% CI 2.85–5.19), extra salt intake (OR 1.13, 95% CI 1.04–2.21), and high waist circumference (OR 3.41, 95% CI 2.81–5.29). Conclusions: The prevalence of hypertension and pre-hypertension was high among our study participants. Population-based intervention programs and policies for increased awareness about the risk factors, and life-style modification are essential for prevention of hypertension.

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“…Both BMI and WHR are predictors of CVD and mortality [ 23 ]. A study in Bangladesh showed an association between hypertension and dyslipidemia [ 24 ]. In our study young AMI patients had higher dyslipidemia and lower hypertension than older patients.…”

Section: Discussionmentioning

confidence: 99%

“…In this study, the younger group reported to consume significantly higher frequency of rice and beef and significantly lower frequency of fruits and vegetables compared to the older group. Previous studies have shown that unhealthy diet rich in carbohydrate and low in fruits and vegetables are a major risk factor for CVD [ 24 , 29 , 30 ]. Dietary results are difficult to compare due to differences in study design and variations of food habits in different countries.…”

Section: Discussionmentioning

confidence: 99%

Risk factors and in-hospital outcome of acute ST segment elevation myocardial infarction in young Bangladeshi adults

Karim

Majumder

Islam

et al. 2015

BMC Cardiovasc Disord

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BackgroundSouth Asians have a higher overall incidence rate and younger age of onset for acute myocardial infarction (AMI) compared to Western populations. However, limited information is available on the association of preventable risk factors and outcomes of AMI among young individuals in Bangladesh. The aim of this study was to determine the risk factors and in-hospital outcome of AMI among young (age ≤40 years) adults in Bangladesh.MethodsWe conducted a prospective observational study among consecutive 50 patients aged ≤40 years and 50 patients aged >40 years with acute ST Segment Elevation Myocardial Infarction (STEMI) and followed-up in-hospital at the National Institute of Cardiovascular Diseases (NICVD). Clinical characteristics, biochemical findings, diet, echocardiography and in-hospital outcomes were compared between the two groups. Multivariate logistic regression was performed to assess the association between risk factors and in-hospital outcome in young patients adjusting for other confounding variables.ResultsThe mean age of the young and older patient groups was 36.5 ± 4.6 years and 57.0 ± 9.1 years respectively. Male sex (OR 3.4, 95 % CI 1.2 − 9.75), smoking (OR 2.4, 95 % CI 1.04 − 5,62), family history of MI (OR 2.4, 95 % CI 1.11 − 5,54), homocysteine (OR 1.2, 95 % CI 1.08 − 1.36), eating rice ≥2 times daily (OR 3.5, 95 % CI 1.15 − 10.6) and eating beef (OR 4.5, 95 % CI 1.83 − 11.3) were significantly associated with the risk of AMI in the young group compared to older group. In multivariate analysis, older patients had significantly greater chance of developing heart failure (OR 7.5, 95 % CI 1.51 to 37.31), re-infarction (OR 7.0, 95 % CI 1.08 − 45.72), arrhythmia (OR 15.3, 95 % CI 2.69 − 87.77) and cardiogenic shock (OR 69.0, 95 % CI 5.81 − 85.52) than the younger group.ConclusionYounger AMI patients have a different risk profile and better in-hospital outcomes compared to the older patients. Control of preventable risk factors such as smoking, unhealthy diet, obesity and dyslipidemia should be reinforced at an early age in Bangladesh.

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Serum lipid profile and its association with hypertension in Bangladesh

Cited by 61 publications

References 22 publications

Prevalence, awareness, treatment and control of dyslipidemia in older persons in urban and rural population in the Astana region, Kazakhstan

Prevalence, awareness, treatment and control of dyslipidemia in older persons in urban and rural population in the Astana region, Kazakhstan

Prevalence of risk factors for hypertension: A cross-sectional study in an urban area of Bangladesh

Risk factors and in-hospital outcome of acute ST segment elevation myocardial infarction in young Bangladeshi adults

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